Expansion requires developing relationships with both primary care doctors and specialists in each new location.
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Over time, the newer antidepressants were increasingly prescribed by primary care doctors, not just psychiatrists.
Many primary care doctors feel comfortable treating panic disorder or will know a clinician who does.
The researchers randomly assigned patients and their primary care doctors to either a collaborative-care group or a standard-care group.
Instead of needing more doctors, maybe we would be better off with fewer primary care doctors who were much better organized.
The rise of onsite clinics that have primary care as their foundation continues to create more demand for primary care doctors.
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Unfortunately, the story of funding for training primary care doctors is sordid.
Merck, on the other hand, will keep a strong sales presence with primary care doctors who treat diabetes, heart disease and other widespread ailments.
Hamadeh wanted to pay primary care doctors a small fee for referring his service to patients, but discovered it could be construed as fee-splitting.
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But in August he became one of the first primary care doctors affiliated with North Shore-Long Island Jewish Health System to adopt computerized medical records.
For example, the shortage of primary care doctors is driven by Medicare payment policies that persistently favor payment for specialty services over primary care.
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Its found little relation between the supply of primary care doctors in a region the percentage of people who see a primary care doctor each year.
"The AMA has stomped on primary care doctors for years, " says Slatosky, who claims he's had to borrow from a bank all year to keep afloat.
Working with primary care doctors to encourage them to allow the nursing facility to treat many acute episodes rather than ordering patients back to the hospital.
In the collaborative-care group, a full-time psychologist and a physician helped manage the patients' care and the primary care doctors participated in two 90-minute pain workshops.
There is a shortage of primary care doctors in this country yet the Balanced Budget Act of 1997 capped the number of residency slots that Medicare would fund?
The Heart Hospital of Milwaukee had to close its doors in 2004 after primary care doctors stopped sending patients, at the behest of the nonprofit hospitals that owned their practices.
We also need to have more preventitave care and primary care providers at a time when primary care doctors are leaving the system, or thinking of it, in record numbers.
The panel said that primary care doctors within the VA screen Iraq and Afghanistan veterans annually for symptoms of PTSD, and it recommends that the Defense Department do the same.
It's the fact that there's widespread agreement that primary care doctors for example, those who practice family medicine and pediatrics are today underpaid and need to be paid more.
More than 50% of practicing doctors already don't accept Medicaid, according to a 2005 survey, and the Medicare Payment Advisory Commission determined in 2008 that 28% of Medicare patients were unable to find primary care doctors.
That is one radical implication of an intriguing new report from the folks at Dartmouth Atlas that finds little relationship between the supply of primary care doctors in a region and access to high quality care.
"We were looking through a peephole, " says Nelson, who is one of 3, 500 primary care doctors in an Aventis-funded study of the drug that will use the A1C test to measure which diabetes treatments are most effective.
The additional paying customers with what many believe will be a pent up demand for medical care service are already expected to stress the health care system, putting more pressure on primary care doctors like internists and family doctors.
They say doctors-in-training see primary care doctors on the front lines spending their days not only seeing a flood of patients but also dealing more with the insurance company bureaucracies, administrative overhead and related headaches that go along with running a busy practice.
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In the 2008 HSC national survey, more than 20 percent of primary care doctors accepted no new Medicare patients (only 4.5 percent accepted no new privately insured patients) and about 40 percent of primary care doctors and 20 percent of specialists refused most new Medicare patients.
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Likewise, primary care doctors are seeing similar phenomena and increasingly there are organizations such as Physician Care Direct and the American Academy of Private Physicians which are setup to transition a primary care practice into a model that can be described as two parts Marcus Welby, one part Steve Jobs.
The study also comes as government and private insurers emphasize the importance and need for primary care doctors like internists through so-called Accountable Care Organizations (ACOs) that take responsibility for keeping patients out of the hospital and emergency room and helps patients manage their conditions by getting them to take their medications appropriately and coming back for needed appointments.
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To be sure, some mental health innovation can also be found in parts of the U.S. Project ECHO, partly funded by the Department of Health and Human Services, is using telephone and Internet technology to link specialists at the University of New Mexico with primary care doctors, community health workers, and health educators in rural parts of the state.
If managed-care programs would pay for drug treatment assessment, counseling and referrals by primary-care doctors, rather than waiting for the problem to get serious enough to require specialized medical treatment, the costs would be lowered for everyone, says Eric Gopelurd, a clinical psychologist at George Washington University's Department of Health Policy.
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